MAURICIO A. VILLAVICENCIO

ROCHESTER, MN
NPI1497153332
Former NameMAURICIO ALEJANDRO VILLAVICENCIO THEODULOZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: MN  1015)
Additional Taxonomies204F00000X Transplant Surgery
(Licence: MA  264532)
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: MA  264532)
Enumeration Date2014-12-09
Last Update Date2025-06-12
Business Address
MAURICIO A. VILLAVICENCIO MD, MBA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
Mailing Address
MAURICIO A. VILLAVICENCIO MD, MBA
PO BOX 860912
MINNEAPOLIS, MN 55486-0912
Phone number: 507-284-2511